Sarcoma management based on a standardized TNM classification
作者:
Myron Arlen,
Ralph Marcove,
期刊:
Seminars in Surgical Oncology
(WILEY Available online 1992)
卷期:
Volume 8,
issue 2
页码: 98-103
ISSN:8756-0437
年代: 1992
DOI:10.1002/ssu.2980080210
出版商: John Wiley&Sons, Inc.
关键词: limb sparing;histology;surgery;irradiation;CAT;MRI;angiography
数据来源: WILEY
摘要:
AbstractThe proper management of soft tissue sarcomas, that offering the highest cure rate while attempting limb sparing should the extremities be involved, requires a standard approach best achieved with the TNM classification. Such staging of the sarcomatous lesion is based primarily on the histologic grade, followed by size and finally histologic classification. The definitive approach is surgical, with muscle group dissection employed at all sites, including the extremities, trunk, and head and neck region. Radiation therapy alone or in combination with chemotherapy improves survival in all high‐grade lesions at risk for recurrence. Evaluation of the primary and recurrent lesion by computed tomography, magnetic resonance when necessary, and angiography offers the best approach for evaluation of the lesion in treatment planning. © 1992 Wiley‐Liss,
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